A little concerned by my blood results?

Hi, last June i ended up in A&E with what i realise was a panic attack, and since then have been having tests for various things.

however what has become apparent is that since then, my blood levels have been increasing. My primary concern is having a stroke or a heart attack due to these, however the secondary concern is whether is is polcythemia vera. people seem concerned by much lower values than mine.

the doctor thinks its probably just secondary and hasnt done the JAK2. Should i be insisting on this?

30M, 125 kg (Down from 145 in June, trying my best!)

Haemoglobin Concentration	Haematocrit

28/05/23 163 0.49

31/05/23 168 0.49

26/06/23 179 0.5

31/07/23 178 0.51

04/12/23 186 0.56

my most recent complete bloods as follows:

Neutrophil count (42J..) 3.4 10^9/L [1.8 - 7.5]

Lymphocyte count (42M..) 2.1 10^9/L [1 - 4]

Red blood cell distribution width (XE2mO) 12.7 % [11.5 - 14.5]

Total white blood count (XaIdY) 6.2 10^9/L [4 - 11]

Basophil count (42L..) 0 10^9/L [0 - 0.1]

Platelet count - observation (42P..) 245 10^9/L [150 - 450]

Monocyte count - observation (42N..) 0.4 10^9/L [0.2 - 0.8]

Eosinophil count - observation (42K..) 0.1 10^9/L [0 - 0.4]

Haemoglobin concentration (Xa96v) 186 g/L [130 - 180] - Above high reference limit

Red blood cell count 5.82 10^12/L [4.5 - 6.5]

Coded entry - Mean cell haemoglobin level (XE2pb) 32.1 pg [27 - 32] - Above high reference limit

Coded entry - Mean cell haemoglobin concentration (429..) 33.2 g/dL [30.5 - 35] - This value has been converted from: 332.0 g/L

Coded entry - Haematocrit (X76tb) 0.56 [0.4 - 0.54] - Above high reference limit

Coded entry - Mean cell volume (42A..) 96.6 fL [84 - 105]

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